Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,023.29 / $1,445.44	Facility		$426.58	$1,023.29	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,071.52	Professional		$524.81	$691.83	$1,071.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,570.40	Facility		$1,288.25	$1,288.25	$2,570.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $776.25 / $1,995.26	Professional		$758.58	$776.25	$1,995.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,047.13 / $1,047.13	Facility		$977.24	$1,047.13	$1,047.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,041.74 / $50,118.72	Facility		$724.44	$2,041.74	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,288.25	Professional		$524.81	$524.81	$1,288.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $5,011.87	Facility		$1,288.25	$2,137.96	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,348.96 / $2,511.89	Professional		$794.33	$1,348.96	$2,511.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $954.99	Facility		$912.01	$912.01	$954.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $912.01	Professional		$794.33	$851.14	$912.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $50,118.72 / $75,857.76	Facility		$1,949.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,230.27	Professional		$851.14	$1,230.27	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,348.96 / $1,584.89	Facility		$478.63	$1,348.96	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $645.65 / $1,096.48	Professional		$416.87	$645.65	$1,096.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $1,096.48	Facility		$758.58	$912.01	$1,096.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $912.01	Professional		$794.33	$851.14	$912.01